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- Title
The Association Between Service Connection and Treatment Outcome in Veterans Undergoing Residential PTSD Treatment.
- Authors
Rodriguez, Jessica L.; Hale, Andrew C.; Marston, Holloway N.; Sage-Germain, Chelsea E.; Wright, Theodore P.; Driesenga, Scott A.; Martin, Shannon M.; Sripada, Rebecca K.
- Abstract
The Department of Veterans Affairs has invested significant time and resources into the treatment of posttraumatic stress disorder (PTSD). Despite concerted efforts, a significant portion of patients do not respond optimally to trauma-focused treatment. One of the factors that has been hypothesized to be associated with treatment response is participation in the Veterans Benefits Administration service-connected disability process. This factor may be particularly relevant in the residential treatment setting, where most participants are engaged in the compensation seeking process. We conducted a retrospective chart review of 105 veterans who completed Cognitive Processing Therapy (CPT) in a residential rehabilitation program. ANCOVAs that adjusted for baseline PTSD severity compared symptom change between those who were and were non-compensation seeking at the time of treatment. Compensation seeking status was associated with significantly less symptom improvement over the course of CPT after adjusting for baseline PTSD severity (F(1, 102) = 4.29, p <.001, η2 =.03). Sensitivity analyses did not detect a similar effect during a prior coping skills phase of treatment. During CPT, clinically significant change was met by 66.7% of non-compensation seeking veterans (M = –15, SD = 14.56) and by 40.1% of the compensation seeking group (M = –7.1, SD = 12.24). Compensation-seeking may be associated with reduced response to trauma-focused treatment in certain settings. Future research is needed to better understand the mechanisms underlying this effect.
- Subjects
TREATMENT effectiveness; RESIDENTIAL mobility; POST-traumatic stress disorder; TRAUMA therapy; VETERANS; VETERANS' benefits; TREATMENT programs; DISABILITY evaluation
- Publication
Psychiatric Quarterly, 2022, Vol 93, Issue 1, p285
- ISSN
0033-2720
- Publication type
Article
- DOI
10.1007/s11126-021-09940-9